Barriers to Diabetes Self-Manegement During COVID-19 Pandemic: A Literature Review
Keywords:
Barrier, Self-managemet, Diabetes, COVID-19Abstract
Diabetes Mellitus has become a public health problem that causes high rates of morbidity and mortality in the world. In controlling diabetes, diabetes self-management ia an important factor. Diabetes self-management aims to control glycemic, reduce the risk of complication, and optimize health status. Planning a healthy diet, physical exercise, selfmonitoring of blood sugar, and adherence to medication are some of the self-management diabetes behaviors. However, the current COVID-19 pandemic has affectes diabetes selfmanagement worldwide. This study aims to determine the barriers to self-management of diabetes during the COVID-19 pandemic. The research method uses a literature review design. Search sources for this research article are PubMed, ScienceDirect, and Google Scholar. Inclusion criteria were determined and appropiate analysis was used using the PICOS framework approach so that 12 articles were reviewed. Based on the results of a literature review on 12 articles, it shows that there are two categories of diabetes self-management barriers, namely internal barriers cosisting of lack of physical activity, unhealthy eating patterns, lack of knowledge about diabetes, lack of frequency of blood glucose monitoring, economic problems, and emotional problems. Meanwhile, external barriers found are to access health services and access to diabetes medicines. To improve diabetes self-management compliance during the pandemic, its is necessary to modify diabetes self-management. In addition, the use of inovations such as PROLANIS (Chronic Disease Service Program) and the ?Jemput sakit antar sehat? service program in the provison of health services and information during the pandemic. Knowing the various barriers to diabetes self-management can prevent similar incidents from happening in the future and further improve management quality.
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Springer, 2016.
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ulcers,? J. R. Soc. Med., vol. 110, no. 3, pp. 104–109, 2017, doi:
10.1177/0141076816688346.
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pp. 1–11, 2020, doi: 10.1038/s41598-020-71908-9.
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doi: 10.1016/j.dsx.2020.04.053.
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2, pp. 114–126, 2019.
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BERHUBUNGAN DENGAN MANAJEMEN PERAWATAN DIRI PADA
PENDERITA DIABETES MELITUS TIPE 2 SELAMA PANDEMI COVID-19,? pp.
2–3, 2019.
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complying with home quarantine during the coronavirus disease 2019 (COVID-19)
epidemic,? Diabetes Res. Clin. Pract. , vol. 170, p. 108514, 2020, doi:
10.1016/j.diabres.2020.108514.
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type 1 diabetes point of view in COVID-19 times (COVIDT1 study): Disease impact,
health system pitfalls and lessons for the future,? Diabetes Res. Clin. Pract. , vol.
171, pp. 1–8, 2021, doi: 10.1016/j.diabres.2020.108547.
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Nutr. ESPEN, vol. 45, pp. 404–411, 2021, doi: 10.1016/j.clnesp.2021.07.011.
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and problems being faced by young adults with type 1 diabetes mellitus amid
nationwide lockdown in India: A qualitative interview study,? Prim. Care Diabetes,
vol. 15, no. 1, pp. 10–15, 2021, doi: 10.1016/j.pcd.2020.07.001.
[23] M. R. Patel et al., ?Impacts of the COVID-19 pandemic on unmet social needs, selfcare,
and outcomes among people with diabetes and poor glycemic control,? Prim.
Care Diabetes, no. xxxx, 2021, doi: 10.1016/j.pcd.2021.10.004.
[24] R. Odeh, L. Gharaibeh, A. Daher, S. Kussad, and A. Alassaf, ?Caring for a child with
type 1 diabetes during COVID-19 lockdown in a developing country: Challenges and
parents’ perspectives on the use of telemedicine,? Diabetes Res. Clin. Pract. , vol. 168,
p. 108393, 2020, doi: 10.1016/j.diabres.2020.108393.
[25] C. Shi, H. Zhu, J. Liu, J. Zhou, and W. Tang, ?Barriers to self-management of type 2
diabetes during covid-19 medical isolation: A qualitative study,? Diabetes, Metab.
Syndr. Obes. Targets Ther. , vol. 13, pp. 3713–3725, 2020, doi:
10.2147/DMSO.S268481.
[26] A. A. Ratzki-Leewing, B. L. Ryan, J. D. Buchenberger, J. W. Dickens, J. E. Black,
and S. B. Harris, ?COVID-19 hinterland: Surveilling the self-reported impacts of the
pandemic on diabetes management in the USA (cross-sectional results of the
iNPHORM study),? BMJ Open, vol. 11, no. 9, pp. 1–13, 2021, doi: 10.1136/bmjopen-
2021-049782.
[27] E. Yeoh et al., ?Impact of COVID-19 and partial lockdown on access to care, selfmanagement
and psychological well-being among people with diabetes: A cross sectional study,? Int. J. Clin. Pract., vol. 75, no. 8, pp. 1–14, 2021, doi:
10.1111/ijcp.14319.
[28] I. A. Kshanti, M. Epriliawati, M. I. Mokoagow, J. Nasarudin, and N. Magfira, ?The
Impact of COVID-19 Lockdown on Diabetes Complication and Diabetes
Management in People With Diabetes in Indonesia,? J. Prim. Care Community
Heal., vol. 12, 2021, doi: 10.1177/21501327211044888.
[29] H. C. Felix, J. A. Andersen, D. E. Willis, J. R. Malhis, J. P. Selig, and P. A. Mcelfish,
?Control of type 2 diabetes mellitus during the COVID-19 pandemic,? Prim. Care
Diabetes, vol. 15, no. January, pp. 786–792, 2020.
[30] H. Utli and B. V. Do, ?The effect of the COVID-19 pandemic on self-management in
patients with type 2 diabetics,? Prim. Care Diabetes, vol. 15, no. January, pp. 799–
805, 2020.
[31] A. Ghosh, B. Arora, R. Gupta, S. Anoop, and A. Misra, ?Effects of nationwide
lockdown during COVID-19 epidemic on lifestyle and other medical issues of
patients with type 2 diabetes in north India,? Diabetes Metab. Syndr. Clin. Res.
Rev., vol. 14, no. January, pp. 917–920, 2020.
[32] J. Alessi et al., ?Mental health in the era of COVID-19: Prevalence of psychiatric
disorders in a cohort of patients with type 1 and type 2 diabetes during the social
distancing,? Diabetol. Metab. Syndr. , vol. 12, no. 1, pp. 1–10, 2020, doi:
10.1186/s13098-020-00584-6.
[33] I. R. Marçal, B. Fernandes, A. A. Viana, and E. G. Ciolac, ?The Urgent Need for
Recommending Physical Activity for the Management of Diabetes During and
Beyond COVID-19 Outbreak,? Front. Endocrinol. (Lausanne). , vol. 11, no. October,
2020, doi: 10.3389/fendo.2020.584642.
[34] M. B. Ruiz-Roso et al., ?Covid-19 lockdown and changes of the dietary pattern and
physical activity habits in a cohort of patients with type 2 diabetes mellitus,?
Nutrients, vol. 12, no. 8, pp. 1–16, 2020, doi: 10.3390/nu12082327.
[35] M. Banerjee, S. Chakraborty, and R. Pal, ?Diabetes & Metabolic Syndrome : Clinical
Research & Reviews Diabetes self-management amid COVID-19 pandemic,?
Diabetes Metab. Syndr. Clin. Res. Rev., vol. 14, no. 4, pp. 351–354, 2020, doi:
10.1016/j.dsx.2020.04.013.
[36] World Bank, ?Food security and COVID-19,? 2020.
https://www.worldbank.org/en/topic/agriculture/brief/food-security-and-covid-19.
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Nutrition,? 2020. [Online]. Available: https://unsdg.un.org/sites/default/files/2020-
06/SG-Policy-Brief-on-COVID-Impact-on-Food-Security.pdf.
[38] J. S. Gonzalez, M. L. Tanenbaum, and P. V. Commissariat, ?Psychosocial Factors in
Medication Adherence and Diabetes Self-Management: Implications for Research
and Practice,? Am Psychol, vol. 71, no. 7, pp. 539–551, 2018, doi:
10.1037/a0040388.Psychosocial.
[39] H. Setiawan, Suhanda, E. Sopatilah, G. Rahmat, D. D. Wijaya, and H. Ariyanto,
?Hubungan Tingkat Pengetahuan Penderita Diabetes Mellitus 2,? Urecol, pp. 241–
248, 2018.
[40] ehab M. Mikhael, M. azmi Hassali, S. abdulrahman Hussain, and N. Shawky, ?Selfmanagement
knowledge and practice of type 2 diabetes mellitus patients in
Baghdad, Iraq : a qualitative study,? Diabetes, Metab. Syndr. Obes. Targets Ther. ,
vol. 12, pp. 1–17, 2019.
[41] D. M. Mukona and M. Zvinavashe, ?Self- management of diabetes mellitus during
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2022-06-30
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Fatimah, I. N., Masithoh, R. F., & Margowati, S. (2022). Barriers to Diabetes Self-Manegement During COVID-19 Pandemic: A Literature Review. Prosiding University Research Colloquium, 378–394. Retrieved from https://repository.urecol.org/index.php/proceeding/article/view/2163
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Copyright (c) 2022 Indah Nur Fatimah, Robiul Fitri Masithoh, Sri Margowati
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